Organization Active NPI

Seabright Pharmacy Inc

  • Pharmacy
  • Atlantic Highlands, NJ
National Provider Identifier
1225028293
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00526100 Issued in NJ
Legal business name
SEABRIGHT PHARMACY INC
Practice address
2 Bayshore PLZ
Atlantic Highlands, NJ 07716-1109
Phone
(732) 291-2900
Fax
(732) 291-9822
NPI assigned
Oct 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard P Stryker, RPNPI 1073795563
Title
VP/Principal/Pharmacist
Phone
(732) 291-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00526100 NJ Primary

Addresses

Primary practice location

2 Bayshore PLZ
Atlantic Highlands, NJ 07716-1109

Mailing address

9 Bayshore PLZ
Highway 36
Atlantic Highlands, NJ 07716-1109
Phone (732) 291-2900

Other identifiers 2

IdentifierTypeStateIssuer
3100271OtherNABP
8557403MedicaidNJ

Other names 1

  • BAYSHORE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930071399 NJ DME Supplier - Pharmacy 7416075304 Practice locations: Atlantic Highlands, NJ
O20200526000793 NJ Part B Supplier - Pharmacy 7416075304 Practice locations: Atlantic Highlands, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1225028293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BAYSHORE PLZ",
            "address_2": "HIGHWAY 36",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161109",
            "telephone_number": "732-291-2900",
            "fax_number": "732-291-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BAYSHORE PLZ",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161109",
            "telephone_number": "732-291-2900",
            "fax_number": "732-291-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABRIGHT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "STRYKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP/PRINCIPAL/PHARMACIST",
        "authorized_official_telephone_number": "732-291-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00526100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3100271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8557403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSHORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.